The driver with diabetes mellitus who does not use insulin is eligible for certification, unless the driver also has a disqualifying complication, comorbidity, or fails to meet one or more of the other standards for qualification.
You may choose to consult with the primary care provider and/or specialist to adequately assess driver medical fitness for duty. When requesting additional evaluation, including a copy of the Medical Examination Report form description of the driver role and medical standards is helpful.
Remember that the provider treating the driver is primarily concerned with minimizing target organ damage associated with elevated levels of blood glucose. As a medical examiner, your assessing any driver with diabetes mellitus for the risk of a severe hypoglycemic episode is the most critical and challenging safety issue.
NOTE: If the driver with diabetes mellitus uses insulin, use the Federal Diabetes Exemption Program and insulin therapy guidelines to determine certification status
Certification/Recertification — Diabetes Mellitus
No recommended time frame
You should not certify the driver until the treatment has been shown to be adequate/effective, safe, and stable.
Maximum certification — 1 years
NOTE:Because of the progressive nature of diabetes mellitus, the Federal Motor Carrier Safety Administration (FMCSA) believes that 1 year maximum certification time is reasonable when the driver has a diagnosis of diabetes mellitus.